Thrive Fearlessly Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THRIVE FEARLESSLY COUNSELING

Practice address

5700 Etiwanda Ave Unit 240
Tarzana, CA 91356-2543

Phone

(626) 469-1003

NPI assigned

Mar 4, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jenna Tennyson

Title

Cred

Phone

(626) 469-1003

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Sickinger

  • Clinical Social Worker
  • Tarzana, CA
  • NPI 1063863058
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1003673377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 ETIWANDA AVE UNIT 240",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 ETIWANDA AVE UNIT 240",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562543",
            "telephone_number": "626-469-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE FEARLESSLY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "TENNYSON",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "CRED",
        "authorized_official_telephone_number": "626-469-1003"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daphne Thompson
• Sharhonda Thompson
• James Thomson, BS
• Lyndsi W. Thornton, MFTI
• Thrive Comprehensive Medical Group, Inc.
• Thrive Medical, Inc.
• Yetunde Mae Tijani-Bello
• Tinosa Hospice, Inc.
• Jonah Tobeck
• Gary Alan Tobon

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.